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SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY <br /> ■ Complete items 1,2,and 3. A. Signature <br /> ■ Print your name and address on the reverse X J1l Agent <br /> so that we can return the card to you. ❑Addressee <br /> ■ Attach this card to the back of the mailpiece, B. Received b rinted Name) . D e o Delivery <br /> or on the front if space permits. l <br /> 1. Article Addressed to: D. Is delivery address different item 1? ❑Yes <br /> If YES,enter delivery address below: ❑No <br /> i <br /> Mr.Mason King <br /> P O Box 68 <br /> Cope.CO 80812 <br /> 3. Service Type ❑Priority Mail Express® <br /> I)I IIIIII IIII I'I I II II'I II I II III I II'II'lllll III ❑Adult Signature ❑Registered MailTM <br /> ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted <br /> )Certified WHO Delivery <br /> 9590 9402 3488 7275 7579 53 ❑Certified Mail Restricted Delivery ❑Retum Receipt for <br /> ❑Collect on Delivery Merchandise <br /> ❑Collect on Delivery Restricted Delivery ❑Signature Confirmation TM <br /> 2. Article Number(transfer from service label) ❑Insured Mail ❑Signature Confirmation <br /> 7 016 2 710 0000 2965 4141 ❑Insured Mall Restricted Delivery Restricted Delivery <br /> (over$500) <br /> PS Form 3811,July 2015 PSN 7530-02-000-9053 Domestic Return Receipt <br /> Cert ted Mail service provides the following benefits: <br /> •A receipt(this portion of the Certified Mail lobe. <br /> ■A unique Identifier for your mailpiece. for an electronic return receipt see a retail <br /> ■Electronic verification of delivery or attempted rassociate <br /> rn receipt f-stance. <br /> no additional fee,present th s <br /> delivery. �— <br /> A record of delivery USPS®-postmarked Certified Mail receipt to the <br /> signature that ry(Ind,d ng a recipients retail associate. <br /> l2 ned by the Postal Service" Restricted delivery service,which Provides <br /> for a specified perfo. !4 <br /> important Remi ers: rVl 1 el C I D 1 fo the add a addressee specified by name,or <br /> resses s authorized agent <br /> ■You may purcha a(? 4 G3 Adult signature service,which requires the <br /> First-Class Marl-,First-ClaSW Package Service° �e at least 21 years of age(not <br /> or Prior ty Mail°service. available at retaiq. <br /> •Cerbfied Mail service is notava�atile fo Adult signature restricted delivery service,which <br /> international mail. requires the signee to be at least 21 years of age <br /> and•Insurance coverage Is notavailable for purchase by name,or to the dd essee's authorizides delivery to the addrMee ed agent <br /> of With Certified Mail service, <br /> However,the purchase e the (not available at rota q. <br /> In uranncedcoverage Mail automce atically inclu not ded with To ensure that your Certified Mail receipt is <br /> certain Priority Mail gems. accepted as legal proof of mailing,it should bear a <br /> •For an additional fee,and with a proper USPS postmark If You would like a <br /> ark <br /> endorsement on the mailpiece,you may request this Cerfified Mail receipt <br /> Poem you u on <br /> the following services: Certified Mail item at a Posit Office'"ant yr <br /> -Return receipt service,which provides a record Postmarking If You don't need a <br /> Postmark of delivery(Including the recipients signature. Certified Mall receipt,detach the barcodd on this <br /> You can request a hardcopy return receipt or an of this label,affix it to the mailpiece,apply <br /> electronic version For a hardcopy return receipt, appropriate Postage,and de <br /> complete¢¢�� deposit the ma 1piece. <br /> Receipt,I 1 <br /> � >r i�'A�:15' Denver,CO 80203 <br /> PS Font,3800,April 2015(Roverso)PSN 753o-ep-0p°-y047 Sane this receipt for your records. <br />